# SHANNON JOHNSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902212608
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2014021871 | MO | — |
| 363L00000X | Nurse Practitioner | 209.012733 | IL | — |
| 363L00000X | Nurse Practitioner | 71015147A | IN | Yes |
| 363LF0000X | Family Nurse Practitioner | 2014021871 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 209.012733 | IL | — |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/31/2025